Ayurvedic Management of Avabahuka (Frozen Shoulder) – A Systemic Review

Abstract

Avabahuka, commonly known as frozen shoulder or adhesive capsulitis, is a musculoskeletal disorder, which is primarily attributed to the vitiation of Vata Dosha, leading to pain, stiffness, and limited mobility. The prevalence rate of frozen shoulder is 2–5% in the general population, with a higher incidence in over the age of 40 years. Our Acharya’s described the various treatment approaches in Samhitas, which pacify Vata Dosha and alleviate symptoms of Avabahuka. This review article summarizes research on Avabahuka (frozen shoulder) management through Ayurvedic interventions. A systematic search was conducted across multiple databases, including PubMed, Ayush Research Portal, J-Gate, and Shodhganga, for relevant articles published between January 2000 and December 2024. The search focused on studies evaluating the efficacy of Ayurvedic management for Avabahuka. Included studies comprised randomized controlled trials (RCTs), non-RCTs, before-and-after studies, and single-group clinical studies assessing various Ayurvedic modalities. Despite many studies remaining unpublished (gray literature), evidence-based medicine is crucial for optimal patient care. We reviewed 241 studies (January 2000–December 2024) from various search engines. Among these, 85 studies involved clinical interventions. This review highlights the efficacy of various Ayurvedic interventions in managing Avabahuka by alleviating pain, stiffness, and restoring mobility, and emphasizes the need for further evidence-based research.